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HomeMy WebLinkAboutHomestead_Brundage INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D P.REPARER ' 7177-247i77. — --w---v, ., ;T,;__ '_° --;:-2 Becky King Closing Services Preparer of the Sales Disclosure Form Tide 7820 Eagle Crest Blvd., Ste 201 Regional Title Services Address(Number and Street) Company Evansville, IN 47715 812-759-5555 beckv.kinq eregionaltitlellc.com City,State,and ZIP Code Telephone Number Email 'tESELLER(SitatANTOR(S)a, .,_-.',;; lie _- _- , . Travas Deal Sandra Deal Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 471 F Hirsch Wands I n same Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure • e best o y k owledge a belief,is true,correct and complete as required by la - d is prepared in accordance wi '1-5.5,"e• operty S.pDisclosure Act". / iYl Signature of Seller Signature of eller Travas Deal 07/08/2016 Sandra Deal . 07/08/2016 Printed Name of Seller Sian Date(MM/DD/YYn1 Printed Name of Seller Sian Date(MM/DD/YYYYI THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. '90O/T YES NO CONDITION I YES NO -NDITION oq ,,, 1.Will this property be the buyer's primary a D 3.Homestead L Provide complete address of primary ❑ ig 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 2. Does the buyer have a homestead in Indiana to be ❑ 8:1s this property a residential rental property? ❑ 0 vaccDated for this residence? If yes,provide ❑ ID 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) J ^^ City,State ZIP Code County OZ-g� 07 gC©- r0A. /4,7 DA Primary property owner contact name E-mail •